儿科日间手术开展现状及风险管理探索

Current status of pediatric day surgery and exploration of risk management

日间手术最早起源于英国,目前已成为我国小儿外科的一种新兴手术模式,文章旨在回顾我国儿科日间手术开展现状,探讨在规模数量增长的基础上,如何通过手术流程再造、制定准入标准、精细化围术期管理和开展健康教育等风险管理措施,确保手术质量和安全,进而提出加强医院内部质量和风险管理、建立管理规范和质量评价体系、构建日间手术患者延伸服务模式的思考与建议。

Day surgery originated from Britain and has become a new surgical model of pediatric surgery in China. This paper reviewed the current status of pediatric day surgery in China, and explored how to improve the quality and safety of operation through reconstructing surgical procedures, developing access standards, refining perioperative management, carrying out health education, and other methods when pursuing the growth in surgical volumes. It is suggested that government and healthcare institutions take more efforts to strengthen internal quality and risk management, establish management norms and quality evaluation system, and build an extended service mode for day surgery patients.